Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1994-04-12
- Stop
- 1994-04-12
The parties
- Patient
- patient Adolfo Clifford Okuneva
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
117319ae-7a08-ce49-d692-4601e5117f85